| NPI | 1699862813 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHEILA A CHILSON Chief Executive Officer 509-765-0674 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: WA 601352250) |
| Enumeration Date | 2006-10-08 |
| Last Update Date | 2014-08-01 |